Why the study?
Does surgical revascularization using a saphenous vein graft improve outcomes in patients with delayed abdominal malperfusion due to aortic dissection?
Does surgical revascularization using a saphenous vein graft improve outcomes in patients with delayed abdominal malperfusion due to aortic dissection?
Surgical revascularization using a saphenous vein graft can be a successful approach for delayed visceral malperfusion in aortic dissection.
May support surgical revascularization in select delayed malperfusion cases; hypothesis-generating and leaves open need for prospective validation.
Obstruction of the thoracoabdominal aorta and/or its branches with subsequent organ ischemia is a frequent complication of aortic dissection. Surgical and percutaneous fenestrations have been used and endovascular stenting has emerged as an additional less invasive approach. In some cases, surgical revascularization may be the most successful procedure. We report two patients who underwent surgical revascularization of the celiac trunk and superior mesenteric artery for delayed abdominal malperfusion due to aortic dissection.
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Kipfer et al. (2005) studied this question.
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